DR. BLAIR YOUNG CLARK (D.O.) – Ophthalmology Physician, NPI 1205199528

DR. BLAIR YOUNG CLARK (D.O.) is a healthcare provider. based in Tiffin, Ohio. specializing in OPHTHALMOLOGY. They hold the professional credentials D.O.. They hold a License No. 34.012724 (OH). The NPI Number for DR. BLAIR YOUNG CLARK (D.O.) is 1205199528

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. BLAIR YOUNG CLARK (D.O.)
NPI
1205199528
Phone
(419) 448-8811
Address
60 ASHWOOD DR
Enumeration Date
21 June 2012
Last Update Date
6 April 2021

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
4194488811
Graduation Year
2011 (15 years ago)
PAC ID
2769759901
Group Practice PAC ID
4789719584
Professional Enrollment ID
I20170518002135
Address ID
OH448831908TI60XXXDRXX300

Contacts

Secure Messaging
blairyoungdo@direct-address.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

841 OPHTHALMOLOGY in OH

Provider Addresses for DR. BLAIR YOUNG CLARK (D.O.)

  • 60 ASHWOOD DR

    TIFFIN, OH 448831908

    Phone: (419) 448-8811

    Fax: (419) 448-7418

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $370.

Total Amount is formed as General ($370) + Research ($0) + Ownership ($0) = $370.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Alcon Vision LLC ($122).

Total Amount

$370

General + Research + Ownership

Payments

18

Total payment records

General Amount

$370

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170518002135IOphthalmologyOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens30042$0
99214Established patient office or other outpatient visit, 30-39 minutes268239$0
92134Imaging of retina227125$0
99213Established patient office or other outpatient visit, 20-29 minutes217140$0
92014Established patient complete exam of visual system175175$0
View full utilization report →

Insurance plans in this area (ZIP 44883)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789719584View full group profile
NameSpecialtyState
Ophthalmology, OptometryOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. BLAIR YOUNG CLARK (D.O.)?
DR. BLAIR YOUNG CLARK (D.O.) — NPI 1205199528 — is the standard way to identify this listing.
Is DR. BLAIR YOUNG CLARK (D.O.) still practicing?
DR. BLAIR YOUNG CLARK (D.O.) is currently listed as active in the public NPI registry.
What is DR. BLAIR YOUNG CLARK (D.O.) best known for clinically?
Directory data describes DR. BLAIR YOUNG CLARK (D.O.) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. BLAIR YOUNG CLARK (D.O.)?
DR. BLAIR YOUNG CLARK (D.O.)'s geographic hint is Tiffin, Ohio in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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